NPI | 1811226608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85946) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT15604) |
Enumeration Date | 2009-12-08 |
Last Update Date | 2024-02-13 |